The Clinical Problem Solvers

MARCH 4, 2024

Her research, writing, and community engagement focuses on shifting consciousness in medical education toward abolitionist possibilities. She came from an activist family, with her mother being one of the first South Asian feminist activists in the country. Learn more about her work at www.sayantanidasgupta.com.

Community 52

Community Education Patient-Centered Relationship 52

GeriPal

FEBRUARY 8, 2024

I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. In their communities? I was really passionate about helping the people and also their families. There has to be more than this.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. But rarely does the podcast and clinical reality meet in the same day. Therapists are so much more. Ann, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

MARCH 2, 2023

2011-2014 JAMDA 2020 Efficacy of Gabapentinoids: Gabapentinoids for Pain: Potential Unintended Consequences. And so there are fewer opioids going out into the community, and we’re decreasing this risk of opioid use disorder, and all of the other things that have contributed to the opioid crisis. Is that right?

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

MAY 26, 2022

There were community-minded motivations, there were motivations that were not having to do with health but having to do with, “So my kids won’t keep calling me and telling me I have to get vaccinated,” type motivations so. I think in other cases, if you look at surveys, the motivations can be more complex. Alex: Yeah.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. I’m just thinking we all went through a major traumatic event in 2020 and the subsequent years. Well, being a pretty comprehensive definition. Eric 04:19 Yeah.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

SEPTEMBER 12, 2024

So whether it’s an encounter with a patient or whether it’s a family meeting or a clinical practice meeting or a feedback session with a fellow, the idea that we have both the ability to be very full and open and also selective and disciplined about how it is that we. Namely, I actually like working in a crisis.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

DECEMBER 7, 2023

Leslie Wharton is a leader in the 26,000 member grassroots organization Elders Climate Action , which organizes older adults to create communities engaged in making a difference at local, state, and national levels. Big heat waves in England in 2020, 2,224 excess deaths in the obits over the age of 65.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. And then to see her show up in our hospice unit in April of 2020, it just completely broke my heart. Turns out, it’s maybe not. It just absolutely has to.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Everything.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. 2020 Hospital at Home-Plus: A Platform of Facility-Based Care.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JUNE 2, 2022

it was April, 2020. We’re actually lower of COVID deaths in this country than we’ve ever been since March of 2020. Our department chair is always tweeting, and I think there was a fourth shot and then a mild infection in a family member. The day I knew we couldn’t eradicate it, remember the big cats in a zoo.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

APRIL 17, 2025

Summary Transcript CME Summary I read Farah Stockmans article in the NYT on why attacks on DEI will cost us all , and thought, Yes, and everyone includes harm to our healthcare workforce, our patients, and their families. The entire White community was getting affirmative action. And there was a brown family.

IT 70

IT Community Government Management 70

The Clinical Problem Solvers

DECEMBER 2, 2020

Reflection Question: How can I best communicate the importance of social interventions to my extended family, community, and patients?) The emotional and physical fatigue associated with such immense loss of human life is leading to burnout among the very group that is required to address this disease.

Community 52

Community Internal Medicine Chronic Disease IT 52